Individual provider Active NPI

Thomas J Thompson, D.C.

  • Chiropractor
  • Monroe, WI
National Provider Identifier
1922162288
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WI3280 Issued in WI
Practice address
250 N 18TH Ave
Ste 104
Monroe, WI 53566-1482
Phone
(608) 325-1999
Fax
(608) 325-1997
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WI3280 WI Primary

Addresses

Primary practice location

250 N 18TH Ave
Ste 104
Monroe, WI 53566-1482

Mailing address

250 N 18TH Ave
Ste 104
Monroe, WI 53566-1482
Phone (608) 325-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000455 WI Practitioner - Chiropractic 1254594120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 N 18TH Ave
Suite 104
Monroe, WI 53566-1482
Phone (608) 325-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WI3280WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinic of Monroe,S.C. Chiropractor CurrentSince Dec 8, 2011 Accepting new patients

Locations

1730 10th St
Monroe, WI 53566
Phone (608) 325-1999

250 N 18th Ave
Ste 104
Monroe, WI 53566
Phone (608) 325-1999

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1922162288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N 18TH AVE",
            "address_2": "STE 104",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661482",
            "telephone_number": "608-325-1999",
            "fax_number": "608-325-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 18TH AVE",
            "address_2": "STE 104",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661482",
            "telephone_number": "608-325-1999",
            "fax_number": "608-325-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "WI3280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.